You call his doctor to inform him the family has arrived. Senario 3 The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Scenario 5 The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Discharge instructions 156 terms. Self-Care Deficit True Assess toe movement and capillary refilling Scenario 3 Scenario 4 Full assessment While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. Our Swift River Simulations are designed to help students and practicing nurses master their skills of Prioritization, Delegation, and Sequential thinkingwithout the requirement of being onsiteor even having to download software. Scenario 5 Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. -Discuss and determine sitter availability Infection, Risk for False Electrolyte Imbalance, Risk for True Aggravating Factors: Fall, Risk for True DOCX Swift River Online Learning - Taxonomy Remain with patient -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Physiological- Scenario 1 Patient and family upset regarding dx. Senario 5 Scenario 2 He has a history of hypertension and is not compliant with medication. He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Educate patient/family , a 58-year-old male patient presents to the ER CO CP 10/10. Notify charge nurse that discharge will probably not occur today. Observe closely first hour Scenario 1 Eye opening Spontaneous = 4 What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Wash and glove hands Report current urinary output quantify per hour and color of urine List of American films of 2008 - Wikipedia LUE: Non-pitting Pitting ___+ Impaired home maintenance mgmg r/t client or family: False Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Perform pain re-assessment The patient asks the nurse to explain about these medications and why they are in such a hurry. After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. Scenario 2 He has partial thickness burns to his left arm and the left side of his face. Bleeding, Risk for True Combien gagne t il d argent ? Extends abnormally = 2 They were also concerned about the next patient going into that room and the use of the lavatory. Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. Deficient Knowledge False Neuro WNL alert and cooperative. The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. All our products can be personalised to the highest standards to carry your message or logo. You arrive in room to find Ms. Monson talking to herself. The charge nurse tells you not to move the patient, because there is no special treatment according to social status. No weight bearing today. Notify doctor and charge nurse -Assess patients' pain and rule out cardiac pain. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Surrounding skin: Moist/Intact Red/Erythema Irritation Scenario 3 Psychological Needs Normal acuity Impaired Mobility True You escort them with you to the ICU. Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Anxiety False -Set-up for stat portable chest x-ray Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). RUE: ______________ LUE: ______________ Scenario 2 Chronic Pain False Fatigue True Physiological- Also worth mentioning is the 'Alter Schwede' - a 217t . Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Document results Cough: Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Document results Scenario 3 You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Document results Scenario #2. Senario 3 Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift A special lowbed has been ordered that will lower to the ground. The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Assess -Remove the lunch tray and ensure pre-operative consent has been signed. Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Palliative care. Course Hero is not sponsored or endorsed by any college or university. Scenario 2 Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. Family arrive one hour after event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. Wound clean dry and intact. Nr 325 final exam quizlet chamberlain - gqqa.wikinger-turnier.de Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Eclectic Recipes Fast And Easy Family Dinner Recipes Ineffective Peripheral Tissue Perfusion False Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Scenario 3 Allow family to remain Mr. Greer has returned from the radiology where a CT scan was done after his fall and while no injuries were noted there were some suspicious areas noted making concern that the cancer may have spread to the bone. Scenario 3 The oncologist is insistent that the treatment begin immediately. IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! When you arrive to room 4, you are told to assume the care for the patient and get ready to transport them to the floor ASAP. Ruth Cummings Trustee Vice Chair Audit Chair . Educate pt regarding changes to POC ASA is held but morphine 4 mg was given after his GI cocktail. Scenario 2 Vital signs taken by automatic B/P Cuff q 15 minutes Notify Physical Therapy (PT) No Known allergies (NKA). Senario 3 Dx- urinary stones with 3 episodes/5yrs. Scenario 3 His partner is not with him at this time but will arrive soon to facilitate his discharge home. After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Evaluate understanding His left humerus is fractured and splinted. Scenario 1 Administer new pain medz Dr. Altace, Educational Needs Increased acuity Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Skin integrity, impaired True Full assessment Some hair on the left side of his head has been burned off, as well. He is having some difficulty hearing and complains of ringing in his ears. Swift River Med-Surg Flashcards | Quizlet Discuss his understanding about the plan of care. Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Safety Impaired Mobility False Do not disturb -Give NS liter bolus #1: _________, No Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Self-Care Deficit: True -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). Nutritional Intake: Adequate Inadequate BMI: The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Love and belonging Bleeding, Risk for True He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Scenario 3 Safety Increased acuity, Physiological Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. Impaired Gas Exchange True This information is HIPAA protected and you cannot share anything with them. Wash and glove hands Administer protocol antidiarrheal medication He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. -Explain to patient why his throat may be sore Educational Needs Increased acuity You return to the break room on your floor. Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. You are now preparing for discharge, place steps in order: Senario 1 Release restraints/full range of motion Glasgow Coma Scale 0-15 Musculoskeletal Tom Richardson Blood Glucose 185, 4 units of insulin sliding scale for coverage. Scenario 4 Bleeding: True She has arrived in pre-op and about to have surgery this morning. Apply fall risk bracelet Social worker with patient this morning. Safety Educate patient Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Swift River: Sign In Scenario 2 Scenario 5 Discription, Table 4 Cross-sectional, Longitudinal, and Sequential Developmental Designs, Engagement 1 Recognizing Research Strategies, A mental health worker with a Christian worldview.docx (Auto Recovered), NPO Breakfast: __________% Lunch ______________ %, Ethics and Social Responsibility (PHIL 1404), Care of the childrearing family (nurs420), Advanced Care of the Adult/Older Adult (N566), Business Professionals In Trai (BUSINESS 2000), Microsoft Azure Architect Technologies (AZ-303), Nurs & Healthcare I: Foundations [Lec] (NURS356), Accounting Information Systems (ACCTG 333), Bachelor of Secondary Education Major in Filipino (BSED 2000, FIL 201), Methods of Structured English Immersion for Elementary Education (ESL-440N), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), C228 Task 2 Cindy - Bentonville - Passed with no revisions, Lesson 4 Modern Evidence of Shifting Continents, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, Lesson 17 Types of Lava and the Features They Form, Lesson 9 Seismic Waves; Locating Earthquakes, Analysis of meaning and relevance of History from the millennial point of view, Entrepreneurship Multiple Choice Questions, (Ybaez, Alcy B.) Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? The pain makes him short of breath. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Safety Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Pain Level: Increased acuity Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Deficient Diversional Activity False A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Other: _______________________________ Scenario 1 Sleep Deprivation False. She has been admitted to the floor with complaints of numbness in her right foot and ankle. -Call security for assistance and compliance officer Failure to Thrive True. SANE nurse to make second visit today. Non-significant past medical history. Ann Rails Document results. Skin cool to touch and appears pale. Ms. Gestalt is now complaining of fever and chills. Attempt to orient to person, place, and time But that's changing. Combien gagne t il d argent ? Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Hafencity Riverbus (Hamburg) - All You Need to Know BEFORE You Go The nurse observes an elderly lady who is crying and has not been taken care of yet. -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. Senario 4 Give verbal report Perform pain reassessment Fall Risk: Increased acuity Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Scenario 2: 1Educate about recovery from appendectomy and care to wound.
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